Individual
LORI ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 DUKE ST # 270, BEAUFORT, SC 29902-4403
(843) 255-6005
(843) 525-0404
Mailing address
1905 DUKE ST # 270, BEAUFORT, SC 29902-4403
(843) 255-6005
(843) 757-6581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
03/02/2010
Last updated
05/02/2022
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